作为肌肉侵入性膀癌患者查工具的迷你营养评估:在高体积中心进行横截面研究
Aldrin Eder da Silva1, Narjara Pereira Leite1, Khalil Smaidi1,2
1Centro Universitário FMABC, Santo André, SP, 09060-870, Brazil.
Bladder (San Francisco, Calif.)
|September 23, 2024
概括
膀癌 (BC) 患者的营养查至关重要. 虽然简短的迷你营养评估 (MNA) 显示了高灵敏度,但完整的MNA对于准确的营养风险评估和指导护理至关重要.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 膀癌 (BC) 是一种侵略性的恶性瘤.
- 营养风险显著影响BC患者的发病率和死亡率.
- 由于BC进展和治疗,营养状况可能会下降.
研究的目的:
- 为了比较小营养评估 (MNA) 工具的结果从泌尿科医生和营养学家在BC患者.
- 评估MNA查在BC患者队列中的有效性.
主要方法:
- 在46名成年BC患者的横截面观察研究中.
- 简短形式的MNA (由医疗团队管理) 和完整形式的MNA (由营养学家管理) 的比较.
- 使用曼·惠特尼大学,学生的t测试,威尔科克森匹配对和科恩·卡帕测试进行统计分析.
主要成果:
- 完整的MNA确定了69.6%的营养风险患者,而使用简体形式的MNA则为39.1% (泌尿科医生) 和28.3% (营养团队).
- 短形式的MNA显示出高灵敏度 (87.5%由泌尿科医生,93.7%由营养学家).
- 由泌尿科医生和营养学家管理的简体形式MNA之间的中等协议 (科恩·卡帕=0.50).
结论:
- 简体形式的MNA是膀癌患者的敏感查工具.
- 完整的MNA是必要的全面的营养查和风险评估.
- 结果指导营养学家和多学科团队管理BC患者的营养.
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